| NPI | 1487246500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW SANDS Mbr 786-525-2599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2021-02-10 |
| Last Update Date | 2024-05-06 |