| NPI | 1346519634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAZARO D RODRIGUEZ Owner/President 904-900-3160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH4496) |
| Enumeration Date | 2011-12-15 |
| Last Update Date | 2011-12-15 |