| NPI | 1104126572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA ROMAN C.E.O. 407-575-4636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: FL sa 8292) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL pt 24417) |
| 261QX0100X Clinic/Center, Occupational Medicine (Licence: FL ot 11560) | |
| Enumeration Date | 2010-11-01 |
| Last Update Date | 2015-08-19 |