| NPI | 1699067041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK JOHNNY OPACHICH President 904-387-4151 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 111NX0800X Chiropractor, Orthopedic |
| Additional Taxonomies | 111NX0800X Chiropractor, Orthopedic (Licence: FL CH4041) |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2021-02-18 |