| NPI | 1174307151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN LUGO Administrator 407-848-7785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM3000X Clinic/Center Medically Fragile Infants and Children Day Care |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics |
| 225XP0200X Occupational Therapist Pediatrics | |
| 235Z00000X Speech-Language Pathologist | |
| 261Q00000X Clinic/Center | |
| 261QR0400X Clinic/Center Rehabilitation | |
| Enumeration Date | 2023-08-22 |
| Last Update Date | 2024-07-12 |