| NPI | 1114101243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY WAGNER Corporate Administrator 352-336-1433 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2007-12-26 |