| NPI | 1386195923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MABEL GUZMAN Owner 786-615-2640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation (Licence: FL HCC10677) |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2023-08-30 |