| NPI | 1154624385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN BERNS CEO 813-929-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL OS11335) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH8992) |
| 207R00000X Internal Medicine (Licence: FL OS11335) | |
| Enumeration Date | 2010-12-09 |
| Last Update Date | 2011-11-29 |