| NPI | 1144459900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMERSON RUIZ ECHEVARRIA Owner 786-474-8564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: FL CH8101) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL MM23361) |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2012-03-15 |