NPI | 1780003863 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN C BRUNO Member/Owner 954-934-4390 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH 10109) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH 10746) |
111NI0013X Chiropractor, Independent Medical Examiner (Licence: FL CH 10109) | |
111NR0400X (Licence: FL CH 10109) | |
Enumeration Date | 2014-04-15 |
Last Update Date | 2020-07-28 |