| NPI | 1164869681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEOFFREY JAMES GIBSON Owner 727-430-5433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL OS-0006669) |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2013-05-23 |