| NPI | 1881437978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PARKER CLIVE DOMINIQUE President/ CEO 305-450-7739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician |
| Enumeration Date | 2024-06-17 |
| Last Update Date | 2024-06-17 |