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 |