| NPI | 1861604019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD MICHAEL REPICE President 239-530-3040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN0400X Chiropractor, Neurology (Licence: FL CH8620) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT12089) |
| 225100000X Physical Therapist (Licence: FL PT8896) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2012-08-23 |