| NPI | 1891120408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW INGLEY Manager 813-220-9113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition |
| 111NP0017X Chiropractor, Pediatric Chiropractor | |
| 111NS0005X Chiropractor, Sports Physician | |
| 171100000X Acupuncturist | |
| Enumeration Date | 2013-09-13 |
| Last Update Date | 2013-10-02 |