| NPI | 1679830574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD L FULMORE Doctor In Charge 407-339-2888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH4735) |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2012-04-16 |