| NPI | 1205705092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN LAMADRID Owner 941-920-4990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2025-10-31 |
| Last Update Date | 2025-10-31 |