| NPI | 1689059891 |
|---|---|
| Doing Business As | SPACE COAST WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER BICKFORD President 321-610-8935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP855) |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2015-07-29 |