| NPI | 1700852357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI BRIENZA Facilities Director 727-868-2151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225700000X Massage Therapist |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2012-08-27 |