| NPI | 1790127603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC KRISTIAN GROTEKE Owner/Chiropractor 727-474-9729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: FL CH 8772) |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2013-07-19 |