| NPI | 1740798438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AILEEN MEDINA Office Manager 954-835-5644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2018-01-16 |