NPI | 1568807006 |
---|---|
Entity Type | Organization |
Authorized Contact | MONIQUE GUSMAO BAIN Owner/Physician 954-657-8342 |
Organization Subpart ? | No |
Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP2304) |
Additional Taxonomies | 111N00000X Chiropractor |
207Q00000X Family Medicine | |
225100000X Physical Therapist (Licence: FL PT1921) | |
Enumeration Date | 2013-05-09 |
Last Update Date | 2014-12-16 |