| NPI | 1578746442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY ERNEST STEPHENS Chiropractor 352-622-4555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH 8271) |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2021-07-08 |