| NPI | 1356519425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS MICHAEL LANE Chiropractic Physician 813-968-4293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL FL 0008563) |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2008-02-12 |