| NPI | 1457637498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARNALDO DE LA VEGA Vice President 239-931-4001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA63547) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL ME101292) |
| Enumeration Date | 2011-10-21 |
| Last Update Date | 2011-10-21 |