| NPI | 1316269962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALLIE GRIFFIN Business Manager 850-878-2363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH8122) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MM24406) |
| Enumeration Date | 2010-02-24 |
| Last Update Date | 2011-10-11 |