| NPI | 1417414467 |
|---|---|
| Doing Business As | DYNAMIC WELLNESS & CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | LARRY WILSON Sole Owner 813-551-1313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2019-02-26 |
| Last Update Date | 2019-02-26 |