| NPI | 1790945954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA A MERRITT Medical Director 941-356-0980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL ME97603) |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2010-12-22 |