| NPI | 1043261233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE GOFFIN President 941-743-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: FL 7920) |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2020-08-22 |