| NPI | 1174607006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD R YACOUB President 305-722-0568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL PT 18067) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2024-07-09 |