| NPI | 1245751338 |
|---|---|
| Other Name | LLC |
| Entity Type | Organization |
| Authorized Contact | LEAH HUMPHRIES Owner/Chiropractor 954-884-0704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: FL CH12216) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH12216) |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2022-07-21 |