NPI | 1952511693 |
---|---|
Former Legal Business Name | GATEWAY CHIROPRACTIC CLINIC LLC |
Entity Type | Organization |
Authorized Contact | ROBERT SCOTT MALHOIT Owner 813-929-8885 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH8982) |
Enumeration Date | 2007-05-23 |
Last Update Date | 2018-12-27 |