| NPI | 1295066710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ANDREW PODLASKI Owner 352-414-9998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NI0900X Chiropractor, Internist (Licence: FL CH 4801) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: FL CH4801) |
| Enumeration Date | 2010-01-22 |
| Last Update Date | 2010-01-22 |