| NPI | 1689195521 |
|---|---|
| Doing Business As | MINDFUL BALANCE AND WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | DANIEL DSTTEFFANO Owner 352-261-0107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic (Licence: FL acn563) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: FL acn563) |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2022-07-21 |