| NPI | 1982673323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ROBERTS Administrator 352-518-0505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: FL PT2261) |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2020-08-22 |