| NPI | 1336411065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM DAVID MOULDER Director 352-729-3565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL P11000098797) |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2013-06-05 |