| NPI | 1134658149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEIMIS RODRIGUEZ AVILA Owner 305-640-5560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2025-06-30 |