| NPI | 1982946810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM JOSEPH SIBILLE Owner 904-501-4344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL PT21524) |
| Enumeration Date | 2013-03-18 |
| Last Update Date | 2022-06-09 |