| NPI | 1235479130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REYNALDO PEREZ Managing Member 904-278-7411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine | |
| Enumeration Date | 2013-03-01 |
| Last Update Date | 2013-03-01 |