| NPI | 1467729095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONNY BELLINA Manager 954-493-8875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2011-11-28 |