| NPI | 1811603657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROLD LAWLER Owner Medical Director 941-312-4751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2023-01-25 |
| Last Update Date | 2023-01-25 |