NPI | 1396035655 |
---|---|
Entity Type | Organization |
Authorized Contact | CHAD F POLLEY Owner 813-654-7121 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor |
Additional Taxonomies | 111NX0800X Chiropractor, Orthopedic |
Enumeration Date | 2011-04-07 |
Last Update Date | 2022-07-26 |