| NPI | 1689707846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS ENRIQUE CRESPO President 813-286-2520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: FL ME0046399) |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: FL ME0046399) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |