| NPI | 1558127506 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JENNIFER LAMBERT Owner/Operator 239-776-4055  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 171100000X Acupuncturist | 
| Additional Taxonomies | 261Q00000X Clinic/Center | 
| 261QP2300X Clinic/Center, Primary Care | |
| 261QP3300X Clinic/Center, Pain | |
| Enumeration Date | 2024-02-27 | 
| Last Update Date | 2024-02-27 |