| NPI | 1295128999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIKKI LYNN MOORE Chiropractic Physician 386-734-4490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH-11355) |
| Enumeration Date | 2015-03-05 |
| Last Update Date | 2015-03-05 |