| NPI | 1750270468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARCY DEBRA DANE Manager 239-380-5596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN0400X Chiropractor, Neurology |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2025-06-30 |
| Last Update Date | 2025-06-30 |