| NPI | 1063630218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FERNANDO MIRANDA President 561-317-1872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT19662) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2007-07-10 |