| NPI | 1740463116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK SAPIO DOCUMENTO Administrative Director 772-240-5527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT20821) |
| Additional Taxonomies | 251E00000X Home Health (Licence: FL 225100000x) |
| Enumeration Date | 2007-12-09 |
| Last Update Date | 2008-01-22 |