| NPI | 1558603357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH BURNHAM Owner 904-310-4563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CH9881) |
| Additional Taxonomies | 111NI0013X Chiropractor, Independent Medical Examiner (Licence: CH9881) |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2013-03-20 |