| NPI | 1003111246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIANKA DE PAZ Owner 786-459-2637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL ma 47653) |
| Enumeration Date | 2011-01-19 |
| Last Update Date | 2011-01-19 |