| NPI | 1972626851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE LOUIS ALBERT Clinic Director 904-786-2781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH8396) |
| Enumeration Date | 2007-04-07 |
| Last Update Date | 2008-05-23 |