| NPI | 1306142641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANDON I AGOADO Owner/President 954-586-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH0004917) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH0006667) |
| 171100000X Acupuncturist (Licence: FL AP1704) | |
| 171100000X Acupuncturist (Licence: FL AP2502) | |
| 207R00000X Internal Medicine (Licence: FL ME78747) | |
| Enumeration Date | 2011-02-03 |
| Last Update Date | 2013-07-24 |