| NPI | 1346351244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL HENRY BENNETT Owner President 386-767-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH5081) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |