| NPI | 1689104366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUILLERMO SUAREZ President 813-363-4736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 225700000X Massage Therapist |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2020-10-29 |