| NPI | 1992014369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANICIA O VICENTE Director Of Billing 407-367-5160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: FL HCC8601) |
| Enumeration Date | 2010-10-01 |
| Last Update Date | 2010-10-01 |