| NPI | 1508222621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY L BONDS Office Manager 352-375-6972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH0006635) |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2016-01-05 |