| NPI | 1669627709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY NICHOLAS MAZZOTLA Business Owner/Chiropractor 305-445-5056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME98523) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH8707) |
| Enumeration Date | 2008-11-17 |
| Last Update Date | 2008-11-18 |