| NPI | 1598004053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDGAR COMSON PENANO President 941-268-5577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL PT0007217) |
| Enumeration Date | 2013-02-04 |
| Last Update Date | 2013-02-04 |