| NPI | 1497996334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW N. PARRIS President 772-299-4649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL Ch8349) |
| Additional Taxonomies | 111NR0200X Chiropractor, Radiology (Licence: FL CH8349) |
| 111NS0005X Chiropractor, Sports Physician (Licence: FL Ch8349) | |
| Enumeration Date | 2009-03-23 |
| Last Update Date | 2011-10-25 |