| NPI | 1245738228 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ELIZABETH M MESEGUE President 786-863-2411 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 202K00000X Phlebology | 
| Additional Taxonomies | 225100000X Physical Therapist | 
| 225700000X Massage Therapist | |
| 291U00000X Clinical Medical Laboratory | |
| 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier | |
| Enumeration Date | 2018-01-25 | 
| Last Update Date | 2018-03-17 |