| NPI | 1427383215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDGAR VESCE Chiropractic Physician 904-372-0623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-10-12 |
| Last Update Date | 2020-02-17 |