NPI | 1831583400 |
---|---|
Entity Type | Organization |
Authorized Contact | BRANDON LEE FIELDS Owner/ Manager 352-603-0241 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH10936) |
Enumeration Date | 2015-03-23 |
Last Update Date | 2015-03-23 |