| NPI | 1639474547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUYEN LU VITALE Owner 321-356-6460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL PT21120) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2011-01-24 |
| Last Update Date | 2024-07-26 |