| NPI | 1841667219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAY DAVID RIDGE Owner Operator Chiropractor 727-581-7429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH10568) |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2015-09-01 |