| NPI | 1740609064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON TODD TEEL CFO 727-470-7356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 111N00000X Chiropractor |
| 175L00000X Homeopath | |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2014-04-15 |