| NPI | 1013740299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOH YOUNG PARK President/Owner 813-573-2756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain |
| Additional Taxonomies | 171100000X Acupuncturist |
| Enumeration Date | 2024-08-22 |
| Last Update Date | 2024-08-22 |