| NPI | 1235335423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL GUADAGNO Owner 305-827-4861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL HCC7530) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL 616039-4) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2008-04-02 |