| NPI | 1609930353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JOHN RISOLDI Owner 727-797-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 111N00000X Chiropractor |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2024-06-06 |