NPI | 1336403989 |
---|---|
Entity Type | Organization |
Authorized Contact | GREGG FOREST MOSES Owner President 561-641-9211 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH00005949) |
Enumeration Date | 2012-06-28 |
Last Update Date | 2012-06-28 |