NPI | 1679152979 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTINA MARIE DAWSON Physician Owner 407-485-6199 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 171100000X Acupuncturist |
261Q00000X Clinic/Center | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
261QM1300X Clinic/Center, Multi-Specialty | |
363LP2300X Nurse Practitioner, Primary Care | |
Enumeration Date | 2021-04-05 |
Last Update Date | 2024-11-07 |