| NPI | 1457521940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANETTE JUNCO PATINO Owner 786-837-1175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2008-06-05 |