| NPI | 1891077673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORA C HUTCHINSON-MOODY Billing Manager 954-695-9620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP2122) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME60805) |
| Enumeration Date | 2011-09-16 |
| Last Update Date | 2011-09-16 |