NPI | 1558520585 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL W MATHESIE Bod 954-755-1434 |
Organization Subpart ? | No |
Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
Enumeration Date | 2008-06-05 |
Last Update Date | 2008-06-05 |