| NPI | 1801473699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MAGNANO Owner 727-580-7290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2025-04-07 |