| NPI | 1639390859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH DAVIS Billing Representative 352-232-0470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP519) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2008-06-12 |