| NPI | 1679956841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE MANUEL MEDINA President & Director 813-986-4648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL ME107516) |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2015-07-07 |