| NPI | 1407687031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | XAVIER LUIS RAFAELLY President 786-603-7613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2024-08-14 |
| Last Update Date | 2024-08-14 |