| NPI | 1679469597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA LAMERS Managing Member 239-596-4801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 111N00000X Chiropractor |
| 111NN1001X Chiropractor Nutrition | |
| 261QP2300X Clinic/Center Primary Care | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2025-06-16 |
| Last Update Date | 2025-06-16 |