NPI | 1770636565 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL A. DODD Clinic Director 904-388-1811 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH0004403) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH0004712) |
207LP2900X Anesthesiology, Pain Medicine (Licence: FL ME0050071) | |
2083X0100X Preventive Medicine, Occupational Medicine (Licence: FL ME95788) | |
225700000X Massage Therapist (Licence: FL MA35203) | |
Enumeration Date | 2007-01-18 |
Last Update Date | 2020-08-22 |