| NPI | 1477753895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL P MOYNIHAN Owner 352-556-4823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH5848) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL OS2977) |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2025-04-09 |