NPI | 1689058125 |
---|---|
Entity Type | Organization |
Authorized Contact | GLOYDIAN CRUZ-GOMEZ Physician 727-748-4742 |
Organization Subpart ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL ME110430) |
Enumeration Date | 2015-07-15 |
Last Update Date | 2015-10-02 |