| NPI | 1518305986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN SANTANA President 786-391-2984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL HCC10576) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| 261QP2300X Clinic/Center, Primary Care | |
| 261QR0400X Clinic/Center, Rehabilitation | |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2014-08-22 |