| NPI | 1538675004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON LUCAS Owner 954-999-3458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH10147) |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2019-10-30 |