NPI | 1225588692 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDRES MESA Director Of Compliance 954-347-1670 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: FL HCC5435) |
Enumeration Date | 2016-10-10 |
Last Update Date | 2023-01-27 |