| NPI | 1801101670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY FERNANDEZ Manager 561-398-8024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL ch3519) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2010-08-17 |
| Last Update Date | 2016-10-18 |