| NPI | 1326680927 |
|---|---|
| Doing Business As | RECHARGE CLINIC |
| Entity Type | Organization |
| Authorized Contact | STEVEN TIECHE Doctor 352-512-9996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QB0002X Family Medicine, Bariatric Medicine |
| 208D00000X General Practice | |
| Enumeration Date | 2019-10-15 |
| Last Update Date | 2019-10-15 |