| NPI | 1689974925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG S POGUE President 941-627-3711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH4487) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH10132) |
| Enumeration Date | 2010-11-02 |
| Last Update Date | 2010-11-02 |