| NPI | 1932572526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY ALAN LEWIN Vice President 954-205-3479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: FL CH5188) |
| Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician (Licence: FL CH6275) |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2015-11-05 |