| NPI | 1316970601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDOLPH V HANSBROUGH President 772-287-7701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN0400X Chiropractor, Neurology (Licence: FL CH3653) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2020-08-22 |