| NPI | 1750656526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW BERGTOLD Chiropractic Physician 239-260-5644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL 9083) |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2015-04-20 |