| NPI | 1265195812 |
|---|---|
| Doing Business As | KETAMINE SOLUTIONS OF TAMPA |
| Entity Type | Organization |
| Authorized Contact | CLINT FLETCHER Owner 615-300-3096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2021-10-20 |
| Last Update Date | 2021-11-10 |