| NPI | 1811276595 |
|---|---|
| Former Legal Business Name | PONCIANA CHIRIPRACTIC CENTER |
| Entity Type | Organization |
| Authorized Contact | ANTONIO A ALFONSO Manager 561-963-9033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor Rehabilitation |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2011-08-11 |