| NPI | 1730643727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL M BARR Managing Member 941-429-0070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NX0800X Chiropractor, Orthopedic |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2020-05-01 |