| NPI | 1568596211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VITERBO A MARTINEZ Owner 352-237-8903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL ME75345) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-08-22 |