| NPI | 1184647182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIO ANZALONE President 352-592-7647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: FL 2005-00552845) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2020-08-22 |