| NPI | 1356778658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL ANTHONY MALAVENDA Owner 305-443-1103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: FL CH5656) |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2014-02-13 |