| NPI | 1285147355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANETTE SIMON Office Manager 352-514-4618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 171100000X Acupuncturist |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2019-09-04 |