| NPI | 1558643296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL GRAU Owner 786-310-7649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: FL MA63885) |
| Enumeration Date | 2011-09-19 |
| Last Update Date | 2011-09-19 |