| NPI | 1114451408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAIRILENA M VIANA CEO 561-866-7794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL P17000009153) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2017-04-13 |