| NPI | 1194090126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FERNANDO VALDES President 305-316-0603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: FL MA64544) |
| Enumeration Date | 2012-03-08 |
| Last Update Date | 2012-03-08 |