| NPI | 1881897502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRIAMO LOZADA President 813-927-7451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: FL MM17193) |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2020-08-22 |