| NPI | 1275147043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YASSET DOMINGUEZ President 786-671-9239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 111N00000X Chiropractor |
| 208D00000X General Practice | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2020-12-17 |