| 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 |