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 |