| NPI | 1952482242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER W JORDAN Owner/Member 386-736-0465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH0003881) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2010-11-16 |