| NPI | 1801104690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD M EISENMAN Member 305-812-6779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP2881) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: FL AP2884) |
| 172M00000X Mechanotherapist (Licence: FL MA40831) | |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2011-03-09 |