| NPI | 1306082276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMELITA M VARDELEON Administrator 727-682-0053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: FL HCC10350) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2008-12-26 |
| Last Update Date | 2021-10-07 |