| NPI | 1093047623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA JANE ACOSTA Owner 352-375-1158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND5247) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA53113) |
| Enumeration Date | 2010-02-08 |
| Last Update Date | 2010-02-08 |