| NPI | 1871762104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK HAMMOND LOVING Owner/President 772-219-3313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH8004) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL PT5764) |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2008-05-19 |