| NPI | 1518296581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIO DE LA ROSA President 305-884-1445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QH0100X Clinic/Center Health Service |
| 261QP2000X Clinic/Center Physical Therapy (Licence: FL MA35823) | |
| Enumeration Date | 2009-12-21 |
| Last Update Date | 2009-12-21 |