| NPI | 1518149558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE PETER CONLON Owner/Chiropractor 772-220-9565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH7972) |
| Enumeration Date | 2007-12-01 |
| Last Update Date | 2007-12-01 |