| 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 |