| NPI | 1720206964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OWEN MARRON Managing Member 941-752-4838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP2217) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: FL AP2238) |
| 171100000X Acupuncturist (Licence: FL AP2220) | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-08-22 |