| NPI | 1104223791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS F ROA President 305-456-0901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL PT22682) |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2014-11-25 |