NPI | 1619084001 |
---|---|
Entity Type | Organization |
Authorized Contact | JUANITO T. ESTRADA President 407-299-5003 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL HCC5335) |
Enumeration Date | 2006-08-23 |
Last Update Date | 2007-08-08 |