| NPI | 1023695970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICASIO JONES Administor 813-458-8858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0404X Clinic/Center Rehabilitation, Cardiac Facilities |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2021-03-26 |