| NPI | 1104792019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHEL VALLADARES Mgr/Administrator 561-647-2326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2025-10-16 |
| Last Update Date | 2025-12-09 |