NPI | 1376860445 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD GALLOWAY Chiropractor 813-253-3111 |
Organization Subpart ? | No |
Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: FL CH9352) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME101995) |
Enumeration Date | 2010-04-28 |
Last Update Date | 2013-10-24 |