| NPI | 1609269810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE LYNNE BRUNET Medical Director 813-254-3707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH10633) |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2015-03-12 |