| NPI | 1225334956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYANET L DE LA COTERA Administrator 786-417-1303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: FL OT12171) |
| Enumeration Date | 2011-01-27 |
| Last Update Date | 2011-01-27 |