| NPI | 1588762058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIAN JEN Physician 941-627-9768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL OS09374) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2008-04-07 |