| NPI | 1588145445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROXANA LOPEZ PEREZ Owner 786-391-0232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL 11464) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL 11464) |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2018-08-28 |