| NPI | 1609660257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHABELI LOVAGNINI CASTILLO President 813-365-4239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation |
| 111NX0800X Chiropractor, Orthopedic | |
| 207QS0010X Family Medicine, Sports Medicine | |
| 225XP0019X Occupational Therapist, Physical Rehabilitation | |
| 261QI0500X Clinic/Center, Infusion Therapy | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QR0400X Clinic/Center, Rehabilitation | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier | |
| Enumeration Date | 2025-04-08 |
| Last Update Date | 2025-04-08 |