| NPI | 1902810815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK S. MAIER Owner 772-878-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH7659) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH0007060) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2019-04-23 |