| NPI | 1255513602 |
|---|---|
| Other Name | ADVANCED WELLNESS & CHIROPRACTIC CLINIC |
| Entity Type | Organization |
| Authorized Contact | THOMAS FRANK MAMMANA Owner 352-307-0033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH2831) |
| Additional Taxonomies | 305R00000X Preferred Provider Organization (Licence: NY CH2831) |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2009-08-05 |