| NPI | 1184167926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERACLIO F. CASTRO Medical Director 407-704-8131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL ME20548) |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation (Licence: FL ME20548) |
| 261QU0200X Clinic/Center, Urgent Care (Licence: FL ME20548) | |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2016-11-28 |