| NPI | 1235941733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMSON JULES CFO 813-899-0002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 111NN0400X Chiropractor, Neurology |
| Enumeration Date | 2025-01-22 |
| Last Update Date | 2025-01-22 |