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 |