| NPI | 1013126267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIEL SANTOS Owner 813-443-4742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL hcc7364) |
| Additional Taxonomies | 111N00000X Chiropractor |
| 225100000X Physical Therapist | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2019-11-12 |