| NPI | 1467979963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL TALBOT CFO 727-422-4304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: FL P1000025527) |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2022-07-21 |