| NPI | 1447595889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLAN S DUKE Director 904-721-5464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor Rehabilitation (Licence: FL CH5891) |
| Enumeration Date | 2012-12-11 |
| Last Update Date | 2012-12-11 |