| NPI | 1306830724 |
|---|---|
| Former Legal Business Name | AVARTA WELLNESS INC. |
| Entity Type | Organization |
| Authorized Contact | JOHN W STAUB President 407-228-9599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL ch8270) |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2015-08-20 |