| NPI | 1639629447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN HANCOCK President 813-973-4747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL CH10081) |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2016-10-05 |