| NPI | 1871610444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH SCOTT BALEN Chief Operations Officer, Physician 941-363-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH7535) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |