| NPI | 1639357197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDUARDO ERCIA Owner 813-888-7044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation (Licence: FL ME 24235) |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2008-02-07 |