NPI | 1750701470 |
---|---|
Entity Type | Organization |
Authorized Contact | RONALD JACK TRAVIS UTTER CEO 407-509-1414 |
Organization Subpart ? | No |
Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: FL CH10487) |
Enumeration Date | 2014-04-21 |
Last Update Date | 2019-06-19 |