| NPI | 1396297669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUSTIN P MOURA Managing Partner 407-388-8866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL 19593) |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2016-11-02 |