| NPI | 1477734002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE ZHAO Owener 813-910-1606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Additional Taxonomies | 171100000X Acupuncturist |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2009-11-19 |