NPI | 1336681279 |
---|---|
Entity Type | Organization |
Authorized Contact | KIM VINCENT DUNGAN President 954-318-0869 |
Organization Subpart ? | No |
Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: FL CH4719) |
Enumeration Date | 2016-11-09 |
Last Update Date | 2016-11-09 |