| NPI | 1073891123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY R ELSE Owner/President 321-757-0626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL PT12961) |
| Enumeration Date | 2011-07-22 |
| Last Update Date | 2018-11-23 |