| NPI | 1659826345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES A SIMPSON President 772-463-2344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2016-08-23 |