NPI | 1134622392 |
---|---|
Doing Business As | ROOT & BRANCH MEDICINE |
Entity Type | Organization |
Authorized Contact | LAUREN POLM CEO 813-460-5222 |
Organization Subpart ? | No |
Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP3903) |
Enumeration Date | 2018-03-14 |
Last Update Date | 2018-07-22 |