| NPI | 1831806561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASMINE QUINTANA Office Manager 813-906-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation |
| Additional Taxonomies | 111N00000X Chiropractor |
| 225100000X Physical Therapist | |
| 225200000X Physical Therapy Assistant | |
| Enumeration Date | 2022-11-02 |
| Last Update Date | 2022-11-02 |