| NPI | 1033220116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE A. BIRD Administrator 352-629-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: FL 686661) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |