| 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 |