| NPI | 1154543643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YUSMUEL MARTINEZ President 813-885-3037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: FL HCC6422) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |