| NPI | 1902847247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE WILLIAM LARIVEE Owner Operator 561-966-1775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH6359) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH8914) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2020-08-22 |