| NPI | 1457674657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REX DAVADILLA Owner 407-621-1486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL 24049) |
| Enumeration Date | 2010-03-02 |
| Last Update Date | 2010-03-02 |