| NPI | 1124551429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZEFF RAFAEL BONA Owner 727-787-1260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL OS6109) |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2017-04-13 |