| NPI | 1265724330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY A TUCKER Executive Director 772-335-7966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT12440) |
| Enumeration Date | 2011-05-09 |
| Last Update Date | 2020-02-19 |