| NPI | 1376944553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBEN ALONZO LAUREL Manager 850-596-0218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT28367) |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2014-09-08 |