| NPI | 1235481524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE LUIS SANTANA Owner/Doctor 813-448-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: FL ME114962) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH8357) |
| Enumeration Date | 2012-10-10 |
| Last Update Date | 2013-01-22 |