| NPI | 1942353727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXIS TERRERO Clinical Director 813-350-0103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: FL hcc5167) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-08-22 |