| NPI | 1558743666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE NICODEMO Owner 786-663-6394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL PT25877) |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2016-02-18 |