| NPI | 1679592844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA PHILBECK Sr. Group Business Manager 813-264-7734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2007-09-24 |