| NPI | 1922365212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN SCOTT HANCOCK Clinical Director 813-973-4747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH10081) |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2012-04-12 |