| NPI | 1306356472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC O PANTALEON President 954-239-8167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL ME63889) |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2017-10-03 |