NPI | 1366953895 |
---|---|
Entity Type | Organization |
Authorized Contact | ADANNYS DOMINGUEZ Owner 305-744-4525 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251B00000X Case Management |
Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
251S00000X | |
261QM1300X Clinic/Center, Multi-Specialty | |
Enumeration Date | 2017-10-24 |
Last Update Date | 2023-12-15 |