| NPI | 1477702652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD RAY BLOOM Owner/Chiropractor/Business Manager 904-223-3330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH9264) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH8853) |
| 111N00000X Chiropractor (Licence: FL CH0001278) | |
| Enumeration Date | 2008-09-12 |
| Last Update Date | 2008-09-12 |