| NPI | 1730744178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT CHANCE President 407-960-2103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2024-05-28 |