| NPI | 1942344106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP E. RENFROE President 850-477-8874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH6343) |
| Additional Taxonomies | 261QA1903X Clinic/Center Ambulatory Surgical |
| 111N00000X Chiropractor (Licence: FL CH6348) | |
| 111N00000X Chiropractor (Licence: FL CH8124) | |
| 208D00000X General Practice (Licence: FL ME92143) | |
| 225100000X Physical Therapist (Licence: FL PT4977) | |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2020-02-20 |