| NPI | 1598824872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL L DOUGLAS President Owner 954-443-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2014-08-29 |