| NPI | 1548291149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDELL MARTIN UNDERWOOD President 813-885-1364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH 7089) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2020-08-22 |