| NPI | 1538268677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA A DAILY Office Manager 386-672-6243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS9094) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH2950) |
| 111N00000X Chiropractor (Licence: FL CH6392) | |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2010-02-22 |