| NPI | 1376665802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUDOTUN AKIN SHENBANJO Director 386-304-7732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH 7300) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-08-22 |