| NPI | 1386966885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON MICHIYO RUDOLPH Vice President/Owner 352-872-5095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH9069) |
| Enumeration Date | 2010-02-24 |
| Last Update Date | 2010-06-11 |