| NPI | 1043728355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNICE SIMMONS Partner 813-466-8793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR0400X Registered Nurse, Rehabilitation |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| Enumeration Date | 2018-01-21 |
| Last Update Date | 2018-01-21 |