| NPI | 1558695866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA J VICKNAIR Managing Member 772-260-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL ch7645) |
| Enumeration Date | 2009-09-21 |
| Last Update Date | 2019-04-03 |