| NPI | 1003295361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH MARTINEZ President 305-487-3751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| 261QR0206X Clinic/Center, Radiology, Mammography | |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2015-07-08 |