| NPI | 1790975126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONINA R VECINA Co Owner 813-759-0106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL PT12682) |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2007-08-01 |