| NPI | 1417590431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA MARIA VENTURA CEO 863-651-7516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2022-03-29 |