| NPI | 1487440152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANOY MARTIN HERRERA Member 786-350-4203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2025-04-17 |
| Last Update Date | 2025-09-10 |