| NPI | 1235596503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER H SORIANO Managing Member 863-513-9054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL 16870) |
| Enumeration Date | 2016-01-18 |
| Last Update Date | 2016-04-04 |