| NPI | 1063681583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN O'NEAL Administrator 941-365-0655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2008-02-28 |