| NPI | 1447599907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN PARKER SANDERS CEO 772-577-6640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH9771) |
| Enumeration Date | 2013-02-04 |
| Last Update Date | 2014-02-20 |