NPI | 1891066494 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN SCOTT EDWARDS Owner/Chiropractor 754-300-6407 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH 8204) |
Enumeration Date | 2012-01-13 |
Last Update Date | 2013-02-28 |