| NPI | 1659504553 |
|---|---|
| Doing Business As | DELTONA ADVANCED MEDICAL WELLNESS |
| Entity Type | Organization |
| Authorized Contact | RANDY L CHAULK Registered Agent 386-846-4588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH9501) |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2009-08-26 |