| NPI | 1962905182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHANNA Y AMARANTE Hair Loss Specialist 813-444-3229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1744P3200X Specialist, Prosthetics Case Management |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2026-01-14 |