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 |