| NPI | 1427173640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE ANN MONERT Owner 352-735-8543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL PT17889) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2022-07-21 |