| NPI | 1578505921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER FOREMAN Administrator 305-933-3242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: FL HCC4109) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2020-08-22 |