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 |