| NPI | 1285239269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALVIN JONES Owner 813-450-1792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 103T00000X Psychologist |
| 111N00000X Chiropractor | |
| 207Q00000X Family Medicine | |
| 208100000X Physical Medicine & Rehabilitation | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2020-11-30 |
| Last Update Date | 2024-09-04 |