| NPI | 1700192689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE KIRBY M PT 941-726-5392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: FL PT22716) |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2013-03-21 |