| NPI | 1598897670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEROLD FADEM Medical Director 407-856-3833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL DC 8263) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL ME 8351) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2020-08-22 |