| NPI | 1720225535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW ALAN TRACEY Manager Member 954-394-9098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP953) |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2010-07-30 |