| NPI | 1487920237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY L KOPITNIK Owner 407-704-8878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: FL os6229) |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2013-07-31 |