| NPI | 1932144631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA LOUISE LAURANCE Owner 727-547-8615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: FL CH7061) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2012-02-09 |