| NPI | 1124022025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DYAN N QUESADA President 954-351-7009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: FL PT14768) |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2008-02-12 |