NPI | 1679873939 |
---|---|
Entity Type | Organization |
Authorized Contact | KEITH SCOTT BRICKELL President 954-771-3800 |
Organization Subpart ? | No |
Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: FL 5087) |
Enumeration Date | 2010-11-02 |
Last Update Date | 2010-12-15 |