| NPI | 1417365792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD GALLOWAY Clinical Director 727-937-9726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH9352) |
| Enumeration Date | 2014-07-30 |
| Last Update Date | 2020-03-09 |