NPI | 1962671776 |
---|---|
Entity Type | Organization |
Authorized Contact | GREGORY CHARLES PRIEST CEO 321-254-3888 |
Organization Subpart ? | No |
Primary Taxonomy | 111NX0800X Chiropractor, Orthopedic (Licence: FL CH4353) |
Enumeration Date | 2008-02-26 |
Last Update Date | 2009-02-24 |