| NPI | 1245509751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOHORA PATRICIA TRIANA Owner 813-876-4686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: FL ma4237) |
| Enumeration Date | 2011-12-29 |
| Last Update Date | 2011-12-29 |