| NPI | 1932645876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENEANE MARIE WAKULA Office Manager 772-546-9591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH7268) |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2017-01-17 |