| NPI | 1760619811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUANITO ESTRADA Administrator 407-299-5003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2009-06-16 |