| NPI | 1801072889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN DAVID BAUER President 954-818-8283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X (Licence: FL ch7924) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL ch7646) |
| 261QP2000X Clinic/Center, Physical Therapy (Licence: FL ma4021) | |
| Enumeration Date | 2008-01-21 |
| Last Update Date | 2008-01-21 |