| NPI | 1144562612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISANDRA BORGES Owner 305-884-2986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile (Licence: FL HCC9938) |
| Additional Taxonomies | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: FL HCC9938) |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2018-03-16 |