| NPI | 1124560875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLIVER TORDECILLAS PT 941-204-8150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL PT18980) |
| Enumeration Date | 2016-11-12 |
| Last Update Date | 2016-11-12 |