| NPI | 1174573695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES D DONLEY President 352-688-8066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT0004876) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2020-08-22 |