| NPI | 1457368086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARE ZIEMBA President 772-337-3141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CHOOO6248) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CHOOO6729) |
| 207Q00000X Family Medicine (Licence: FL OS6560) | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2020-08-22 |