| NPI | 1710945704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA LEE FARESE Vice President 727-209-4545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL PT4310) |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2022-02-23 |