| NPI | 1336442045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRI HERZOG Office Manager 407-359-0047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH 9595) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2010-12-20 |
| Last Update Date | 2010-12-22 |