| NPI | 1568556900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PACITA MAGANTINO MANODOM-MISLAY President 352-683-6190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL PT10116) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-08-22 |