| NPI | 1326521972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA R CARTER Owner 305-680-3527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2023-09-14 |