| NPI | 1366710147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ALLEN INDERWIESEN President 407-281-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH 5802) |
| Enumeration Date | 2011-12-07 |
| Last Update Date | 2011-12-07 |