| NPI | 1417065210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA L WEISS Office Manager 941-351-2555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH6785) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT15223) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2020-08-22 |