| NPI | 1871507152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA B BURKE Mcc 954-563-4472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH7975) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT21879) |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2013-01-10 |