| NPI | 1467855940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD W SHUTES CEO/President 352-690-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 111N00000X Chiropractor |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2018-03-17 |