| 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 |