| NPI | 1770694788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ONOFRE FERNAN MIRANDA President 904-381-9207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT10089) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |