| NPI | 1952670440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDELL MARTIN UNDERWOOD Managing Member 813-644-7017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH7089) |
| Enumeration Date | 2011-12-29 |
| Last Update Date | 2019-05-22 |