| NPI | 1427875145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANISLEY LANZA DIAZ President 813-403-2567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine |
| Additional Taxonomies | 208600000X Surgery |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QR0400X Clinic/Center, Rehabilitation | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2024-09-24 |
| Last Update Date | 2024-09-24 |