| NPI | 1093051450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY ANN POTTS Acupuncture Physician 813-765-2493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: FL 3176) |
| Enumeration Date | 2012-12-12 |
| Last Update Date | 2012-12-12 |