NPI | 1770614786 |
---|---|
Entity Type | Organization |
Authorized Contact | QAHTAN ABDULFATTAH President 352-596-8344 |
Organization Subpart ? | No |
Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: FL ME92671) |
Enumeration Date | 2007-03-08 |
Last Update Date | 2010-07-06 |