| NPI | 1265777239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUSTAVO GONZALEZ Managing Member 786-227-6843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT16772) |
| Enumeration Date | 2012-12-03 |
| Last Update Date | 2012-12-31 |