| NPI | 1841564002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY J FIORE Owner 904-276-5433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: FL 4727) |
| Enumeration Date | 2012-03-05 |
| Last Update Date | 2018-06-20 |