| NPI | 1114932944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM F MICHEO Co Ownwer 787-740-2270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2014-05-15 |