| NPI | 1902162662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW INGLEY General Manager 813-220-9113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 24800594) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: IL 24800594) |
| 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: IL 24800594) | |
| 171100000X Acupuncturist | |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2014-02-14 |