| NPI | 1790380772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YEZABELL FIGUEROA Administrator 407-792-4110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 103T00000X Psychologist | |
| 111N00000X Chiropractor | |
| 207Q00000X Family Medicine | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2020-11-30 |
| Last Update Date | 2020-12-18 |