NPI | 1447571906 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT J DECUBELLIS Owner 941-925-2889 |
Organization Subpart ? | No |
Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: FL CH 5969) |
Enumeration Date | 2010-06-18 |
Last Update Date | 2010-06-18 |