| NPI | 1699715599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSA PANOS Mgrm 386-447-0610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: FL PT 22291) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2020-01-27 |