| NPI | 1417957358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW N LOSCALZO Administrator 727-789-6008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT4811) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA2119) |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2013-03-20 |