| NPI | 1215060116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONARD BIBERMAN Owner 941-752-1744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 225100000X Physical Therapist |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2019-07-03 |