| NPI | 1902103625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA VAZQUEZ Billing Coordinator 407-677-7272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: FL CH4079) |
| Enumeration Date | 2011-02-15 |
| Last Update Date | 2013-06-24 |