NPI | 1891005369 |
---|---|
Entity Type | Organization |
Authorized Contact | BRAD TEPPER President 386-310-7246 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH8484) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH10046) |
111N00000X Chiropractor (Licence: FL CH10229) | |
Enumeration Date | 2010-10-18 |
Last Update Date | 2012-02-18 |