| NPI | 1992952121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN AULL Owner/President 941-364-9437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2010-04-01 |