| NPI | 1174994115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSMIE E VEGA President 786-401-7278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: FL HCC10470) |
| Enumeration Date | 2015-10-16 |
| Last Update Date | 2015-10-16 |