| NPI | 1881805588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE E RODRIGUEZ Owner 813-374-0298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL AHCAHCC9572) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL MM18237) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2014-02-28 |