NPI | 1235286386 |
---|---|
Entity Type | Organization |
Authorized Contact | RONALD LEWERT President 954-755-4994 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH6274) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME46569) |
Enumeration Date | 2007-01-04 |
Last Update Date | 2011-03-15 |