| NPI | 1396002952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE ANN AHASIC Pres/Director 239-263-3330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL Ch10286) |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2018-06-20 |