| NPI | 1043622434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLEN RODRIGUEZ Mgr 786-366-1036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2014-05-20 |