| NPI | 1366953895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADANNYS DOMINGUEZ Owner 305-744-4525 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2024-10-01 |