| NPI | 1235395278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICAH THOMAS RICHESON Chiropractor 813-994-5455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL 111n00000x) |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2009-05-19 |