| NPI | 1720123359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN PATRICK HAGGERTY President 954-570-7699 |
| Organization Subpart ? | |
| Primary Taxonomy | 111NI0900X Chiropractor Internist (Licence: FL CH7618) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-08-22 |