| NPI | 1962703405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE ALAN HANSBROUGH President/Director 772-285-2133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NX0100X Chiropractor, Occupational Health (Licence: FL P96000078922) |
| Enumeration Date | 2010-11-16 |
| Last Update Date | 2010-11-16 |