| NPI | 1568755593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD STANNARD ROGERS President 321-254-9060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH3913) |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL ME98363) |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2012-05-22 |