| NPI | 1255638680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN DAVID GOODMAN Director 561-213-7666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038-007969) |
| Enumeration Date | 2011-02-21 |
| Last Update Date | 2011-02-21 |