| NPI | 1821491168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSANNE F WITT VP, Operations 813-574-2460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 225100000X Physical Therapist | |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2014-10-01 |