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 |