| NPI | 1538324652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA REICHENBACH Billing Manager 941-870-2703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: FL PA9102767) |
| Additional Taxonomies | 251E00000X Home Health (Licence: FL PA9102767) |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2008-08-20 |