| NPI | 1780736157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS ARNOLD HEISE President 407-677-1660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor Nutrition (Licence: FL 1603) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2007-07-25 |