| NPI | 1295558104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD LINARES SUAREZ Mgr/Administrator 786-693-1191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2024-11-07 |
| Last Update Date | 2025-04-03 |