| NPI | 1194091454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY DALETTO Office Administrator 941-441-9007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 171100000X Acupuncturist |
| 174400000X Specialist (Licence: FL ME100763) | |
| 204C00000X Neuromusculoskeletal Medicine, Sports Medicine | |
| 207X00000X Orthopaedic Surgery | |
| 207ZN0500X Pathology, Neuropathology | |
| 208100000X Physical Medicine & Rehabilitation | |
| 2083A0300X Preventive Medicine, Addiction Medicine | |
| 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine | |
| 208U00000X Clinical Pharmacology | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| 225700000X Massage Therapist | |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2023-03-01 |