| NPI | 1417339276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONNIE CALLAWAY Physical Therapist Assistant 863-272-0541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL PTA 24657) |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2015-06-29 |