| NPI | 1174762074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN NOLASCO Owner 786-262-4324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL sa-8529) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist (Licence: FL ot-12003) | |
| Enumeration Date | 2009-02-17 |
| Last Update Date | 2026-07-17 |