| NPI | 1306123864 |
|---|---|
| Doing Business As | COUNTRYSIDE WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | CAROL ANN BATES Owner 727-724-0488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP000344) |
| Enumeration Date | 2011-11-12 |
| Last Update Date | 2011-11-12 |