| NPI | 1952625162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO JOAQUIN VARELA Managing Member 904-616-1282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: FL 18058) |
| Enumeration Date | 2010-03-16 |
| Last Update Date | 2010-03-16 |