| NPI | 1124026844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE A SIMMONS Office Administrator 863-299-2749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT796) |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2008-04-09 |