| NPI | 1417278367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE L ROCHE Owner 786-360-4581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL MM25055) |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2010-06-15 |