| NPI | 1295073229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILENKO S REDONDO Owner 786-547-7139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: FL MA63233) |
| Enumeration Date | 2013-01-25 |
| Last Update Date | 2013-01-25 |