| NPI | 1851424147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT W HEDRICK Manager 954-987-2220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor Nutrition (Licence: FL CH0005834) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2015-03-09 |