| NPI | 1023068202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANNY ALFONSO Administrator 305-819-3133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2021-02-08 |