| NPI | 1619501939 | 
|---|---|
| Doing Business As | CENTER OF ADVANCED WELLNESS | 
| Entity Type | Organization | 
| Authorized Contact | CHRIS CIANI CEO 813-944-8966  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty | 
| Enumeration Date | 2020-02-25 | 
| Last Update Date | 2020-11-24 |