| NPI | 1811069578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARENCE WILLIAM KELLY Clinical Director 407-344-0007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH0003224) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2008-01-21 |