| NPI | 1679913974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN MITTELDORF Owner 561-495-1212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: KS 0105537) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: KS 0104242) |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2013-07-01 |