| NPI | 1356797203 |
|---|---|
| Doing Business As | LONGEVITY WELLNESS |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA CLARK Acupuncturist 941-923-9355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP3067) |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2016-05-10 |