| NPI | 1437426137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OCTAVIO MICHAEL VIDAL Presiden/Physician 239-674-9437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL CH6781) |
| Enumeration Date | 2011-11-23 |
| Last Update Date | 2011-11-23 |