| NPI | 1174520910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH ANTHONY WILLIAMS President 941-764-7117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL ME0066000) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2020-08-22 |