NPI | 1134117112 |
---|---|
Entity Type | Organization |
Authorized Contact | JANET MESA Administrator Assistant 305-644-4201 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: FL PO5000132512) |
Enumeration Date | 2005-10-12 |
Last Update Date | 2008-01-14 |