| NPI | 1396126900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY WAYNE PRICE Owner/President 239-939-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH0006852) |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2015-08-20 |