| NPI | 1760780043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN A BALLISTREA Owner 727-868-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NI0013X Chiropractor Independent Medical Examiner (Licence: FL CH8075) |
| Enumeration Date | 2011-03-10 |
| Last Update Date | 2011-03-10 |