| NPI | 1629307079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIER CARDENAS Manager 813-877-8381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: FL HCC7847) |
| Enumeration Date | 2009-12-14 |
| Last Update Date | 2009-12-14 |