| NPI | 1225307622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | D. PHILLIPS President 407-370-2772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 171100000X Acupuncturist |
| Enumeration Date | 2011-12-14 |
| Last Update Date | 2013-05-20 |