| NPI | 1205281938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE RUIZ Owner 786-360-6577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: FL HCC12163) |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2016-05-02 |