| NPI | 1417721325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUMBERTO GONZALEZ President 786-366-3597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2023-11-10 |
| Last Update Date | 2023-11-13 |