| NPI | 1275933681 |
|---|---|
| Doing Business As | LEVICK PERFORMANCE & REHAB |
| Entity Type | Organization |
| Authorized Contact | TAYLOR JOURDAN LEVICK Owner 813-230-3607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X (Licence: FL CH10885) |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2014-09-04 |