| NPI | 1487623229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE NIEHR Billing Manager 727-786-7574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: FL CH7842) |
| Additional Taxonomies | 111NN0400X Chiropractor, Neurology (Licence: FL CH7842) |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2010-03-22 |