| NPI | 1063160513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM DURAN Owner 305-807-4111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2022-03-14 |
| Last Update Date | 2022-07-29 |