| NPI | 1902012636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERYL LANG GELETKA Director 941-359-9090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL HCC4592) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL HCC4592) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-08-22 |