| NPI | 1235149873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HECTOR VEGA President 305-796-0425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL HCC6091) |
| Additional Taxonomies | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: FL 683226) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2020-08-22 |