| NPI | 1255318333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN MANZANO President 786-237-9720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: FL 683224) |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2007-09-18 |