| NPI | 1639606007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP GREGORY RODGER Co Owner/Chiropractor 904-428-0766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL 11946) |
| Enumeration Date | 2017-05-17 |
| Last Update Date | 2022-07-21 |