| NPI | 1720876634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILDERSON NAURELUS Presideent 561-319-6554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 111NR0400X Chiropractor Rehabilitation |
| Enumeration Date | 2025-04-29 |
| Last Update Date | 2025-04-29 |