| NPI | 1982620597 |
|---|---|
| Doing Business As | COUNTRYSIDE ARTHRITIS CENTER |
| Entity Type | Organization |
| Authorized Contact | ANTONY G SANKOORIKAL Owner/President 727-797-7410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME0062422) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2020-08-22 |