| NPI | 1326095951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS GANUZA Medical Doctor Owner 727-375-7578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: FL ME29235) |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2020-08-22 |