| NPI | 1952648933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS CARLOS VERA Manager Member 321-297-4012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN0400X Chiropractor, Neurology (Licence: FL CH8736) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH8736) |
| Enumeration Date | 2013-01-10 |
| Last Update Date | 2013-01-10 |