| NPI | 1124154232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH E. MAUST President 305-293-0650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: FL AP 713) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL AP 713) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL AP 713) | |
| 133N00000X Nutritionist (Licence: FL AP 713) | |
| 171100000X Acupuncturist (Licence: FL AP 713) | |
| 175F00000X Naturopath (Licence: FL AP 713) | |
| 175L00000X Homeopath (Licence: FL AP 713) | |
| 225400000X Rehabilitation Practitioner (Licence: FL AP 713) | |
| 225700000X Massage Therapist (Licence: FL AP 713) | |
| 261Q00000X Clinic/Center (Licence: FL AP 713) | |
| Enumeration Date | 2007-02-25 |
| Last Update Date | 2014-10-23 |