| NPI | 1427629682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS FIERRO Owner 941-242-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| Enumeration Date | 2021-07-08 |
| Last Update Date | 2021-07-08 |