| NPI | 1811059637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA NICHOLAS Office Manager, Vice President 386-673-5952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH8810) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2020-08-22 |