| NPI | 1417142688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LIVINGSTON Administrator 561-498-1098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH7126) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: FL OS7123) |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2012-08-15 |