| NPI | 1619334612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA FERGUSON Doctor Of Chiropractic 386-624-1448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH9794) |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2016-01-21 |