| NPI | 1942335187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA M WATERS Business Manager 850-983-7986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL FLCH004090) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2014-07-19 |