NPI | 1184126252 |
---|---|
Entity Type | Organization |
Authorized Contact | MARCOS AGUILERA President 239-230-2490 |
Organization Subpart ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2018-03-05 |
Last Update Date | 2019-11-22 |