| NPI | 1508278029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE M GELCH Owner 954-441-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: GA MD052073) |
| Additional Taxonomies | 111NR0400X Chiropractor Rehabilitation (Licence: FL CH6925) |
| 261QP2000X Clinic/Center Physical Therapy (Licence: FL DPT24946) | |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2014-06-19 |