| NPI | 1679882799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE A. BURNS PT A 321-439-9508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL PTA 22302) |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2010-10-07 |