| NPI | 1720571508 |
|---|---|
| Doing Business As | PHOENIX CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | ESTHER WIDJAJA Clinic Director 352-871-2883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2018-06-07 |