| NPI | 1558547927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN KELLENBERGER VP 239-728-3472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH2118) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH7948) |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2008-01-16 |