| NPI | 1699728113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAZARO GARI Owner 813-399-6889 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: FL HCC6439) |
| Additional Taxonomies | 283X00000X Rehabilitation Hospital (Licence: FL HCC6439) |
| 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2012-05-18 |