| NPI | 1922589183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN RUDOLPH SWEAT Director 941-753-1747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111NX0800X Chiropractor, Orthopedic |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2019-04-22 |