| NPI | 1376662593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN ASHLEY MAREZ Practice Manager 813-930-8454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2024-06-21 |