| NPI | 1508176868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN PATRICK CREADON President/Owner 813-434-3960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: FL HCC5810) |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2010-10-20 |