| NPI | 1043580111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVIANA SANTANA Billing COO Rdinator 813-644-6991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 171100000X Acupuncturist |
| 111N00000X Chiropractor | |
| Enumeration Date | 2012-01-06 |
| Last Update Date | 2012-01-06 |