| NPI | 1962546275 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | LAURA B BURKE Mcc 954-563-4472 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: FL CH6557) | 
| Enumeration Date | 2007-02-19 | 
| Last Update Date | 2011-10-04 |