| NPI | 1346372752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DWAYNE SPARKS Practice Administrator Owner 352-874-7345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2020-08-22 |