| NPI | 1962641555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA JUNE GEISEL Insurance Manager 352-626-1126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 5243) |
| Enumeration Date | 2009-02-05 |
| Last Update Date | 2024-01-20 |