| NPI | 1336337864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELL A JARVIS Director 904-221-4046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL PT20519) |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2020-02-27 |