| NPI | 1922573161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE M PASCUAL Doctor/Owner 904-999-7873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111NP0017X Chiropractor, Pediatric Chiropractor |
| 111NR0400X | |
| 111NS0005X Chiropractor, Sports Physician | |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2022-03-28 |