| NPI | 1558694109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA CARRINGTON Owner 941-224-5859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: FL OT12881) |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2009-09-15 |