| NPI | 1245517275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYDEL MIRANDA TOLEDO PT 786-537-4435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: FL MA62359) |
| Enumeration Date | 2011-11-04 |
| Last Update Date | 2011-11-04 |