| NPI | 1235458720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA J VISLOCKY Vice President 772-418-1551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH 9980) |
| Enumeration Date | 2010-05-24 |
| Last Update Date | 2010-05-24 |