| NPI | 1003895434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA DEJESUS GONZALEZ Administrator 786-388-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL pt14991) |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2012-09-18 |