| NPI | 1528361011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES THOMAS WITHERELL President 305-247-7300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH6625) |
| Enumeration Date | 2010-12-06 |
| Last Update Date | 2010-12-06 |