NPI | 1245724483 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTHONY ROLDOS Owner 407-751-3953 |
Organization Subpart ? | No |
Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: FL 12204) |
Enumeration Date | 2018-06-20 |
Last Update Date | 2018-06-20 |