| 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 |