| NPI | 1184181158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REMY OGUNSOLA Administrator 813-523-6385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health |
| 164W00000X Licensed Practical Nurse | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| 374U00000X Home Health Aide | |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2019-02-26 |
| Last Update Date | 2019-02-26 |