| NPI | 1518289578 |
|---|---|
| Former Legal Business Name | GERALD R. MATTIA D.C.,P.A. |
| Entity Type | Organization |
| Authorized Contact | GERALD R MATTIA President 407-909-4788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH2832) |
| Enumeration Date | 2010-02-18 |
| Last Update Date | 2010-02-18 |