| NPI | 1851488209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER MASSA Office Manager 954-979-2333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2020-08-22 |