| NPI | 1295268910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KREG DALE SHERMAN Managing Partner 239-908-9762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH 12155) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH12151) |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2017-04-10 |