| NPI | 1831436310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRI DOUZE Owner 786-440-5130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X (Licence: FL ch 4902) |
| Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician (Licence: FL ch 9049) |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2013-01-03 |