| NPI | 1750424255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANNE MICHELLE FERNANDEZ President 727-528-1133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH0005777) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2008-09-09 |