| NPI | 1275671158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOUNG SOO SUH P.T. Director 813-884-3773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL MM 13883) |
| Additional Taxonomies | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2020-08-22 |