| NPI | 1679620728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN M HOGAN Chiropractic Physician 850-437-0035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH 10642) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2012-11-26 |