| NPI | 1386878775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA DAWN PARKER Office Coordinator 727-210-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2019-03-06 |