| NPI | 1487873477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW IAN COOPER Owner 305-935-9599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: FL CH7801) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2012-11-06 |