| NPI | 1336305226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL VISHER VP 813-319-2223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X (Licence: FL ch8024) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: FL ap2551) |
| 208D00000X General Practice (Licence: FL ME9182) | |
| 225700000X Massage Therapist (Licence: FL MA15529) | |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2008-07-31 |