NPI | 1235872094 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA HUSEBOE Pd 954-410-2999 |
Organization Subpart ? | No |
Primary Taxonomy | 111NN0400X Chiropractor, Neurology |
Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician |
Enumeration Date | 2022-04-19 |
Last Update Date | 2022-08-01 |