| NPI | 1154538734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADAY FERNANDEZ President 305-825-4487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Additional Taxonomies | 261QR0400X Clinic/Center Rehabilitation |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-08-22 |