| NPI | 1114224045 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ANGELICA MARIA CARLOZZI Owner 352-875-3675  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: FL MA58340)  | 
| Enumeration Date | 2011-02-10 | 
| Last Update Date | 2011-02-10 |