| NPI | 1962724377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT C HAEFELE Physical Therapist 727-344-0891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL PT15109) |
| Enumeration Date | 2010-02-26 |
| Last Update Date | 2010-08-24 |