| NPI | 1487181400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAYRON MALGOR President 305-484-9205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL hcc11031) |
| 225100000X Physical Therapist (Licence: FL HCC11031) | |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2019-05-23 |