| NPI | 1558699355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOANY QUEZADA Manager 813-443-4623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: FL HCC7834) |
| Enumeration Date | 2009-12-07 |
| Last Update Date | 2009-12-07 |