| NPI | 1760170393 |
|---|---|
| Doing Business As | COMPLETE INTEGRATIVE MEDICAL CLINIC, LLC. |
| Entity Type | Organization |
| Authorized Contact | AMANDA CAMP Owener 813-374-5584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2023-08-07 |