| NPI | 1659574754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL GUNNIP Office Manager 813-265-8555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH8383) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH8570) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2020-08-22 |