| NPI | 1578704458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIK ROACH President / CEO 407-647-2009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: FL 9409) |
| Enumeration Date | 2009-03-23 |
| Last Update Date | 2010-12-04 |