| NPI | 1598711608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE JO AZIROVIC Director/Vice President 727-992-1696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2020-08-22 |