| NPI | 1497073720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ULISES PUENTES President 786-718-0122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL HCC8671) |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2010-05-11 |