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 |