| NPI | 1346384393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLIVER FLORES Manager 727-452-6675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: FL 12107) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2020-08-22 |