NPI | 1629453402 |
---|---|
Entity Type | Organization |
Authorized Contact | TIM DECUBELLIS Chiropractic Physician 727-842-4476 |
Organization Subpart ? | No |
Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: FL CH9644) |
Enumeration Date | 2015-07-22 |
Last Update Date | 2015-07-22 |