| NPI | 1679723613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMENUEL G ACOSTA Owner 813-964-6863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: FL HCC7017) |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2008-09-26 |