| NPI | 1003231804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN C RIVERON President 305-569-0349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: FL HCC10040) |
| Enumeration Date | 2014-03-03 |
| Last Update Date | 2014-03-21 |