| NPI | 1992917892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN ALLEN BEARD Physical Therapist 727-441-4549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL PT17700) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-08-22 |