| NPI | 1376869073 |
|---|---|
| Doing Business As | LIFE SCAN WELLNESS CENTERS |
| Entity Type | Organization |
| Authorized Contact | PATRICIA JOHNSON CEO 813-876-0625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: FL RN1456802) |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2010-04-20 |