| NPI | 1205069754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS CONSUEGRA Manager 813-443-5132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: FL HCC7529) |
| Enumeration Date | 2009-09-01 |
| Last Update Date | 2009-09-01 |