| NPI | 1811149982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ACE STERLING ROXAS MEDINA Human Resources 863-678-9878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL PT6404) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL PT5986) |
| 261QP2000X Clinic/Center, Physical Therapy (Licence: FL OT5262) | |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2008-10-21 |