| NPI | 1770785412 |
|---|---|
| Doing Business As | DOUGHERTY CHIROPRACTIC CLINIC |
| Entity Type | Organization |
| Authorized Contact | AMANDA JOY PROKOP Manager Chiropractor 386-423-5259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH9205) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2011-01-21 |