| NPI | 1538430731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YAMILYS E REYES Owner 786-624-8654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: FL hcc9749) |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2012-01-19 |