| NPI | 1831930031 |
|---|---|
| Doing Business As | ACTIVE EDGE CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | JOSEPH PEREZ Owner/Provider 561-600-1091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2024-06-03 |
| Last Update Date | 2024-06-05 |