| NPI | 1063063576 |
|---|---|
| Doing Business As | NO |
| Entity Type | Organization |
| Authorized Contact | YISSET ABREU Vicepresident 305-979-4969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2019-09-25 |