| NPI | 1851614382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN A ORTOLANI President 386-274-3601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH9179) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT22182) |
| Enumeration Date | 2010-03-11 |
| Last Update Date | 2010-10-08 |