| NPI | 1043551344 |
|---|---|
| Former Legal Business Name | ACCIDENT & ANTI AGING CLINIC LLC |
| Entity Type | Organization |
| Authorized Contact | BENOIT O CHOINIERE Managing Member 727-488-8044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine |
| Additional Taxonomies | 111NN0400X Chiropractor, Neurology (Licence: FL CH10323) |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2014-04-09 |