| NPI | 1356682793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL KOWALSKI President 904-296-9545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME113529) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: FL AP 208) |
| Enumeration Date | 2013-03-11 |
| Last Update Date | 2013-03-11 |