| NPI | 1346481520 |
|---|---|
| Doing Business As | BACK PAIN INSTITUTE OF PORT CHARLOTTE |
| Entity Type | Organization |
| Authorized Contact | GARY ANTON GOERG President 941-235-3535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH7167) |
| Enumeration Date | 2009-03-17 |
| Last Update Date | 2009-03-17 |