| NPI | 1821444241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YELLITZA ESTRADA Manager 813-751-5723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: FL PTA 26602) |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2016-05-05 |