| NPI | 1821225798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDILIO LOPEZ Director 813-889-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 111NR0400X |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2009-06-17 |