| NPI | 1740529569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA ANNE DONNER Physician 954-605-2738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: FL Ch6404) |
| Enumeration Date | 2013-02-14 |
| Last Update Date | 2013-02-14 |