| NPI | 1932207206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC K GROTEKE Chiropractor Physician 727-797-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH9772) |
| Additional Taxonomies | 171000000X Military Health Care Provider (Licence: FL ME 97457) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |