| NPI | 1255736831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHEL REYES CEO 813-443-5370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: FL MM28422) |
| Enumeration Date | 2014-10-25 |
| Last Update Date | 2021-10-21 |