| NPI | 1902492721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YHAIMAR ARIZALETA Manager 407-708-3509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2020-12-16 |
| Last Update Date | 2021-01-06 |