| NPI | 1013972710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGITA V BEARD Owner 941-794-3998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL ME67285) |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2020-08-22 |