NPI | 1427179027 |
---|---|
Former Legal Business Name | WELLSWOOD MEDICAL GROUP, INC |
Entity Type | Organization |
Authorized Contact | VICTOR ZAMORA President/Owner 813-251-5290 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH7609) |
Enumeration Date | 2007-04-02 |
Last Update Date | 2011-11-18 |