| NPI | 1902180391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN COTTRELL President 954-944-2737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL Ch9073) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME90795) |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2011-10-04 |