| NPI | 1104919653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUZ STELLA FUENTES President 305-378-5247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: FL HCC8245) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2014-10-24 |