| NPI | 1396330650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERLEY DORLEANS Authorized Official 954-251-1130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2021-03-08 |
| Last Update Date | 2025-04-19 |