| NPI | 1861769317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRUDY SANGRAW Secretary/Insurance Clerk 386-775-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH0001491) |
| Enumeration Date | 2011-11-29 |
| Last Update Date | 2011-11-29 |