| NPI | 1316417462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OWEN FRASER President 407-578-9142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2018-12-03 |
| Last Update Date | 2018-12-03 |