| NPI | 1841966520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY BROOKE PEARCE BAEZ Physical Therapist 352-426-1751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2021-08-21 |
| Last Update Date | 2022-05-02 |