| NPI | 1396319612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC OTERO Director Of Operations 407-922-7622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy |
| 225700000X Massage Therapist | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2021-05-20 |
| Last Update Date | 2021-05-20 |