| NPI | 1306302260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ELLEN KRAMP Manager 727-216-3492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2019-02-15 |
| Last Update Date | 2019-10-08 |