| NPI | 1790042943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZACHARY W STALNAKER Mgrm/Owner 904-996-2243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH9924) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH3311) |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2019-06-19 |