| NPI | 1518191576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN CARLOS ALFONSO Owner 305-480-8473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL MA 42956) |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2009-05-06 |