| NPI | 1780863803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFRED MIRABAL Administrator 561-686-0120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH-0005593) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL OS-0005893) |
| 225100000X Physical Therapist (Licence: FL PT11676) | |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2009-11-02 |