| NPI | 1851579320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY BETH BROCKMAN Billing Manager 352-241-4111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH0007823) |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2024-05-16 |