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 |