| NPI | 1578390399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOISES GARCIA Managing Member 305-218-9990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| Enumeration Date | 2024-09-16 |
| Last Update Date | 2024-09-16 |