| NPI | 1265755656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUGUSTO M PERNIA Therapist 813-872-7120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: FL MM24293) |
| Enumeration Date | 2010-03-12 |
| Last Update Date | 2010-03-12 |