| NPI | 1598047698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIO DUBE Member 941-351-4949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP2931) |
| Additional Taxonomies | 305S00000X Point of Service (Licence: FL AP2931) |
| Enumeration Date | 2011-09-14 |
| Last Update Date | 2015-05-29 |