| NPI | 1275188849 |
|---|---|
| Doing Business As | PHYSIOCARE SPORT & SPINE |
| Entity Type | Organization |
| Authorized Contact | JESSE POLANCO PT/Owner 813-395-0018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2019-08-09 |
| Last Update Date | 2019-08-09 |