| NPI | 1801084330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN S CHOMER Owner 850-863-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME85933) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL ME85933) |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2015-02-13 |