| NPI | 1598110025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARQUITA RIGGINS Non Surgical Hair Replacement 352-575-7032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1744P3200X Specialist Prosthetics Case Management (Licence: FL CL1220368) |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2016-06-02 |