| NPI | 1669705315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA LAMMONS Owner 813-412-9545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: FL HCC7699) |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2009-09-14 |