| NPI | 1285323790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YANET GOMEZ Owner 727-233-2025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2023-05-02 |
| Last Update Date | 2023-05-02 |