| NPI | 1194330340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDIA FUNDORA President 786-571-2788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| 251S00000X | |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2022-10-13 |