| NPI | 1356611818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY GEORGE SEMEGON President 904-744-4461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH0004819) |
| Enumeration Date | 2011-12-30 |
| Last Update Date | 2011-12-30 |