| NPI | 1417078213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA GISELA KNUDSEN Owner 813-875-7626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH6030) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL ME36421) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2020-08-22 |