| NPI | 1972772598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONSUELO MORENO President 305-895-6639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH2711) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW2895) |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2008-02-27 |