| NPI | 1003180332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUREK MARTINEZ Therapist 786-393-2528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL MA60762) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: FL MA60762) |
| Enumeration Date | 2012-03-05 |
| Last Update Date | 2012-03-05 |