| NPI | 1780366088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK J CRISS Owner 813-526-4287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition |
| Enumeration Date | 2023-08-04 |
| Last Update Date | 2023-08-04 |