| NPI | 1609670439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER MAYLE CEO 813-303-0777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 171100000X Acupuncturist |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2025-04-02 |
| Last Update Date | 2025-04-02 |