NPI | 1578622981 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY P. JOHNSON Owner/Provider 941-484-5333 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH5308) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME90236) |
363LA2200X Nurse Practitioner, Adult Health | |
111N00000X Chiropractor (Licence: FL CH 8175) | |
Enumeration Date | 2006-12-08 |
Last Update Date | 2021-03-17 |