| NPI | 1487008124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA JEAN MOBARAK Office Manager 904-425-4546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL 266621) |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2016-04-19 |