| NPI | 1801157524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRET ANDREW WHITE President 772-631-3995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: FL CH8776) |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2018-06-20 |