| NPI | 1972284990 |
|---|---|
| Former Legal Business Name | SOVEREIGNTY CHIROPRACTIC INC |
| Entity Type | Organization |
| Authorized Contact | SCOTT COUNCILMAN Owner/Chiropractor 813-560-5323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2023-07-31 |
| Last Update Date | 2023-07-31 |