| NPI | 1053505529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE XYNIDIS Owner 386-672-4080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL PT0000766) |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2007-08-28 |