| NPI | 1760728208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS Q JACOBS Director 941-587-8684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH10751) |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME 57417) |
| 261QP2000X Clinic/Center, Physical Therapy (Licence: FL PT 8112) | |
| Enumeration Date | 2013-01-02 |
| Last Update Date | 2013-05-15 |