| NPI | 1952611253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIMMIE BRAXTON BRADLEY Chiropracto 239-332-1311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH2687) |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2010-10-20 |