| NPI | 1912102021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK JOSEPH CACIC President Owner 561-547-2210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: FL ch7724) |
| Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician (Licence: FL ch7724) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2020-08-22 |