| NPI | 1487784161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY GEORGE KOTLARCZYK Owner 941-756-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH9102) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL 9102) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2010-10-18 |