NPI | 1942500673 |
---|---|
Entity Type | Organization |
Authorized Contact | SEAN O'FLAHERTY Owner 305-942-1288 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104557101) |
Additional Taxonomies | 302F00000X Exclusive Provider Organization (Licence: FL CH9897) |
Enumeration Date | 2010-10-28 |
Last Update Date | 2013-10-16 |