| NPI | 1073536413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS EDUARDO RODRIGUEZ Physical Therapy 863-409-6481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: FL PT7865) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2007-09-19 |