| NPI | 1558238295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE MICHELLE SVOBODA Title Mgr 305-234-7877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2025-10-18 |
| Last Update Date | 2025-10-18 |