| NPI | 1790931277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND DALE CLITES Doctor/Owner 813-684-1648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH0004571) |
| Enumeration Date | 2008-08-15 |
| Last Update Date | 2014-01-27 |