| NPI | 1013710276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE GARCIA Credentialing Director 407-288-5884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2025-03-31 |
| Last Update Date | 2025-07-28 |