| NPI | 1144707068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVAYLO GUEORGUIEV Owner 813-444-2020 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP3960) |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: FL AP3960) |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2020-09-12 |