| NPI | 1033467410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBEN GONZALEZ President 813-885-3037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: FL MM22701) |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2012-08-16 |