| NPI | 1558880849 |
|---|---|
| Doing Business As | COUNTRYSIDE CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | MARIA A YOUNG Owner 727-400-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH9770) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH10813) |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2024-07-08 |