| NPI | 1306079249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD OSCAR SUAREZ Owner 813-443-5354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: FL HCC7662) |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2009-08-26 |