| NPI | 1063876712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL F MORENO President 786-817-5439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL MA42951) |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2016-04-08 |