| NPI | 1255536876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YUSIMY MARTINEZ Owner 813-514-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2020-08-22 |