| NPI | 1396017331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNARD JOSEPH KEENUM Owner/Chiropractic Physician 850-675-6886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: FL ch0009285) |
| Enumeration Date | 2012-02-07 |
| Last Update Date | 2012-02-07 |