| NPI | 1346420627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADLAI STEVEN GREEN Boss 407-886-0611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH0002710) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME56047) |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2010-10-15 |