| NPI | 1275036113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MACIVOR President/Physician 407-978-0997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP1840) |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2018-03-16 |