| NPI | 1891984001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN R BANACKI President 727-786-8991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN0400X Chiropractor, Neurology (Licence: FL CH4858) |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2012-10-31 |