NPI | 1609279124 |
---|---|
Entity Type | Organization |
Authorized Contact | MABBETT KING RECKORD Chiropractor/Owner 863-665-9597 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH3509) |
Enumeration Date | 2014-09-29 |
Last Update Date | 2014-09-29 |