| NPI | 1215239207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEIVYS FLORES Owner 813-443-8223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: FL HCC8923) |
| Enumeration Date | 2010-11-23 |
| Last Update Date | 2010-11-23 |