| NPI | 1972805570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ALLEN SPENCER Executive Officer 727-791-1212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH9819) |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2010-12-02 |