| NPI | 1396585774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBEN GONZALEZ President 305-457-0444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2024-05-31 |
| Last Update Date | 2024-08-14 |