| NPI | 1700230620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOCELYN PUNG President 941-447-8040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL PT11720) |
| Enumeration Date | 2016-04-17 |
| Last Update Date | 2016-04-25 |