| NPI | 1457034126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY DECANIO Owner 561-422-1819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2023-08-09 |
| Last Update Date | 2025-10-28 |