| NPI | 1013456805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIO DE LA ROSA President 786-360-2046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL MA35823) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: FL MA35823) |
| 261QR0400X Clinic/Center, Rehabilitation (Licence: FL MA35823) | |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2017-02-20 |