| NPI | 1164267647 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JESSICA R ESPAILLAT Manager 305-527-3569  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 225100000X Physical Therapist | 
| Additional Taxonomies | 207R00000X Internal Medicine | 
| 208100000X Physical Medicine & Rehabilitation | |
| Enumeration Date | 2024-06-27 | 
| Last Update Date | 2024-06-27 |