| NPI | 1992112577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE PETRYK Chiropractic Neurologist 239-560-6764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL OS00007123) |
| Additional Taxonomies | 111NN0400X Chiropractor, Neurology (Licence: FL CH8431) |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2014-07-16 |