| NPI | 1952024325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ODEY VELAZQUEZ SOSA Owner 813-438-0731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 261QR0400X Clinic/Center, Rehabilitation | |
| Enumeration Date | 2022-09-21 |
| Last Update Date | 2024-02-06 |