| NPI | 1619848132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALID OBED PEREZ CEO 727-655-8611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111NN0400X Chiropractor, Neurology |
| 111NN1001X Chiropractor, Nutrition | |
| 111NR0400X Chiropractor, Rehabilitation | |
| 111NX0800X Chiropractor, Orthopedic | |
| Enumeration Date | 2025-09-16 |
| Last Update Date | 2025-09-16 |