| NPI | 1912318841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY L WILSON Managing Member 305-842-9689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH11145) |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2014-05-14 |