| NPI | 1093505125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELODIE DORSO President/CEO 727-824-8181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 111N00000X Chiropractor | |
| 207N00000X Dermatology | |
| Enumeration Date | 2025-05-12 |
| Last Update Date | 2025-05-12 |