| NPI | 1144937012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL PHILIP WOLINSKI V.P. Of Administration 321-412-8166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2022-11-01 |
| Last Update Date | 2022-12-02 |