| NPI | 1407122682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELL PAVONI President 305-593-9333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL HCC8991) |
| Enumeration Date | 2012-04-01 |
| Last Update Date | 2012-04-01 |