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 |