| NPI | 1720710627 |
|---|---|
| Doing Business As | PHASE 1 CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | BRIAN CLUKIE Administrator 813-997-2099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2022-06-29 |
| Last Update Date | 2023-07-27 |