| NPI | 1730772823 |
|---|---|
| Former Legal Business Name | ATLANTIC COAST PHLEBOTOMY INSTRUCTION LLC |
| Entity Type | Organization |
| Authorized Contact | TAMMY MARIE CAROLLO Owner 561-929-1373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2021-02-19 |
| Last Update Date | 2021-02-19 |