| NPI | 1356662035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS BOULART Owner 305-264-9498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL ma 42701) |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2010-06-17 |