| NPI | 1760617278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIO ANZALONE Owner/Lmt 352-684-6424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL 194) |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2011-02-10 |