| NPI | 1134307291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLIOT MARCIAL RIVERA Owner 813-801-9001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: FL CH 8456) |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2008-01-31 |