| NPI | 1366788523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISRAEL ALONSO Manager 813-336-4926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: FL MM28041) |
| Enumeration Date | 2012-12-17 |
| Last Update Date | 2012-12-17 |