| NPI | 1750753547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN LAWRENCE MERRITT Owner 813-975-7465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P0004X Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine (Licence: FL ME90836) |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2015-10-20 |