| NPI | 1881012243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILL REED Managing Member 352-512-0907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: FL os 12487) |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2014-04-02 |