| NPI | 1639407638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISVET MARTINEZ V.President 813-888-7177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: FL HCC7865) |
| Enumeration Date | 2009-12-02 |
| Last Update Date | 2009-12-02 |