| NPI | 1568005411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLORENCIO DEPENA President 786-762-2415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2019-10-23 |