| NPI | 1962773531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDOLPH HANSBROUGH Director 772-287-7701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN0400X Chiropractor, Neurology (Licence: FL CH3653) |
| Enumeration Date | 2012-01-13 |
| Last Update Date | 2012-01-13 |