| NPI | 1194231464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANA GARNER Owner 727-498-8898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 202D00000X Integrative Medicine |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2017-12-21 |
| Last Update Date | 2024-04-17 |