| NPI | 1477736171 |
|---|---|
| Doing Business As | PRO-ACTIVE FAMILY CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | LUKE H PETERSON President 407-895-6161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH8962) |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2008-03-17 |