| NPI | 1487290276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANAY ACEVEDO Ownner 786-539-7315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2019-11-27 |
| Last Update Date | 2022-02-21 |