| NPI | 1952559155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN B. GREEN Managing Member 305-891-4114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition |
| 111NS0005X Chiropractor, Sports Physician | |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2008-09-03 |