| NPI | 1154698686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOURDES MEDINA President 305-274-8883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL HCC9554) |
| Enumeration Date | 2011-11-29 |
| Last Update Date | 2011-11-29 |