| NPI | 1790239903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER CARROLL Office Rep 352-942-1204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 171100000X Acupuncturist |
| 225100000X Physical Therapist | |
| Enumeration Date | 2016-08-05 |
| Last Update Date | 2016-08-05 |