| NPI | 1114327053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YELITZA ESTRADA Senior Clinic Manager 813-662-1366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2014-08-28 |
| Last Update Date | 2014-08-28 |