| NPI | 1275051542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YUNIER RODRIGUEZ Owner 813-405-4428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL MM36223) |
| Additional Taxonomies | 261Q00000X (Licence: FL HCC10872) |
| 261QR0400X Clinic/Center, Rehabilitation (Licence: FL MM36223) | |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2022-07-21 |