| NPI | 1588961247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE K HARTLEY Owner 727-527-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: FL 106969) |
| Enumeration Date | 2011-02-16 |
| Last Update Date | 2011-02-16 |