| NPI | 1275281461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDY AGUILA Administrator 786-701-8702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2022-03-16 |
| Last Update Date | 2025-05-07 |