| NPI | 1376857474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE L TABOADA Owner 305-639-8060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL ma58704) |
| Enumeration Date | 2010-07-30 |
| Last Update Date | 2010-07-30 |