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 |