| NPI | 1528396199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD RAY BLOOM Owner/Chiropractor 904-223-3330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH8853) |
| Enumeration Date | 2009-11-19 |
| Last Update Date | 2009-11-19 |