| NPI | 1104306612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNESTO CARDOZO Owner 954-608-4954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL ME90704) |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2018-08-15 |