| NPI | 1932629771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT GALLOWAY Owner 813-626-2311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH10661) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2022-07-21 |