| NPI | 1306856034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TREVOR W MAXWELL Owner Chiropractic Physician 386-734-2522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH7957) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH7642) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2008-10-29 |