| NPI | 1578325536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE ANN KOLAXIS Director Of Billing & Admin 813-491-4480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 202D00000X Integrative Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2024-01-25 |
| Last Update Date | 2024-02-20 |