| NPI | 1720086457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY D BOFSHEVER Owner/President 954-344-4343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH0006211) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2008-02-20 |