| NPI | 1619022100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXEIS MACUYA Owner. 813-877-5320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: FL 26QR0401X) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2024-09-24 |