| NPI | 1750822821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIK ROACH CEO/Owner 407-678-2009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL ch 9409) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL ch 10874) |
| 207P00000X Emergency Medicine (Licence: FL ME 96405) | |
| 363L00000X Nurse Practitioner (Licence: FL arnp 9165596) | |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2017-03-09 |