| NPI | 1154035848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN JOHN NAUGHTIN Medical Director 813-466-8704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2023-01-09 |
| Last Update Date | 2023-01-09 |