| NPI | 1275819450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN RENICK Chiropractic Physician 407-217-6969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: FL ch9701) |
| Enumeration Date | 2011-11-01 |
| Last Update Date | 2012-02-09 |