| NPI | 1972759454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY LYNN EVANS Owner/President 813-404-7619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: FL CH7587) |
| Enumeration Date | 2008-08-15 |
| Last Update Date | 2008-08-15 |