| NPI | 1750125340 |
|---|---|
| Doing Business As | IDEAL SPINE WELLNESS & CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | JOEL MARTINEZ RIVERA Vice President 386-801-4184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2024-06-19 |
| Last Update Date | 2024-06-20 |