| NPI | 1821342387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS WAYNE BRADBERRY President 727-459-6672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH 10777) |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2012-11-06 |