| NPI | 1487934352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM MALAGON President 786-307-7297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL MA64474) |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2013-09-11 |