| NPI | 1962739714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IDELFONSO MOREJON President 407-201-4932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL M55648) |
| Enumeration Date | 2009-11-14 |
| Last Update Date | 2009-11-14 |