| NPI | 1427562073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD YACOUB Owner 305-722-0568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL PT18067) |
| Enumeration Date | 2017-11-18 |
| Last Update Date | 2020-07-21 |