| NPI | 1275217143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW COOPER Owner 305-935-9599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| Enumeration Date | 2023-06-12 |
| Last Update Date | 2023-12-15 |