| NPI | 1750658886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERVIN EUGENE BERNOTUS Physician/Owner 941-753-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL ME88550) |
| Additional Taxonomies | 2081P0004X Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine (Licence: FL ME88550) |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: FL ME88550) | |
| Enumeration Date | 2011-11-17 |
| Last Update Date | 2011-11-17 |