NPI | 1487892030 |
---|---|
Entity Type | Organization |
Authorized Contact | JACOB JUSTIN HUTZELL Owner/Chiropractor 904-880-3271 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH9481) |
Enumeration Date | 2009-02-04 |
Last Update Date | 2015-04-08 |