| NPI | 1215418793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID RANDALL Owner/Operator 321-432-3345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT22170) |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2018-08-23 |