| NPI | 1598051971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERNANDO FERNANDEZ Owner 954-239-8528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL MA61484) |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2011-06-23 |