| NPI | 1922370246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER BURNHAM Chiropractic Services Director 386-872-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH10080) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL 057503) |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2012-02-24 |