| NPI | 1841345030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS CELPA Partner Admin 813-875-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP121) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: FL AP519) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-08-22 |