NPI | 1659253961 |
---|---|
Entity Type | Organization |
Authorized Contact | LEE BURDGE Owner 813-451-7731 |
Organization Subpart ? | No |
Primary Taxonomy | 202D00000X |
Additional Taxonomies | 111N00000X Chiropractor |
363L00000X Nurse Practitioner | |
Enumeration Date | 2025-07-25 |
Last Update Date | 2025-07-25 |