| NPI | 1366404220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE GRAY Administrator 727-791-0407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL PT21478) |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2020-08-22 |