| NPI | 1366068728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAFAEL FOSS Owner 786-370-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine |
| Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
| 261QP2000X Clinic/Center Physical Therapy | |
| Enumeration Date | 2020-06-22 |
| Last Update Date | 2020-06-22 |