| NPI | 1780930461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEKSANDR KRUCHAKOV Mgmr 954-922-1270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP1714) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH6252) |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2012-07-31 |