NPI | 1467757393 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES E. JACK Doctor (Chiropractor) 954-630-1616 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH8419) |
Enumeration Date | 2011-01-25 |
Last Update Date | 2011-01-25 |