| NPI | 1396032793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TY ANTHONY TRUDEAU Physician/Owner 407-772-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NX0800X Chiropractor, Orthopedic (Licence: FL CH7566) |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2013-01-07 |