| NPI | 1922303627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISAAC ANTONIO MONTILLA Chiropractor/Owner 850-320-6158 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH10164) |
| Enumeration Date | 2011-01-11 |
| Last Update Date | 2013-05-02 |