| NPI | 1023795119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID FREIXAS Manager 786-763-7330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2023-06-29 |
| Last Update Date | 2025-04-10 |