| NPI | 1780176172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSA PANOS Owner 386-447-0610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: FL 3945) |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2020-01-27 |