| NPI | 1164236311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIUSKA ARISTICA Mgr Administrator 786-485-3168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2025-02-06 |
| Last Update Date | 2026-04-24 |