| NPI | 1902863392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISH JONES Administrator 727-571-3222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL PT5624) |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2013-09-27 |