| NPI | 1851721278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUREYA DIAZ Owner 813-846-5628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL MA54107) |
| Enumeration Date | 2013-11-21 |
| Last Update Date | 2013-11-21 |