| NPI | 1346505559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GOMAA RAMADAM IBRAHIM ALI Owner 941-206-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT12658) |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2013-10-28 |