| NPI | 1609113406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSH SALINAS Manager 305-825-1997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation |
| Additional Taxonomies | 261QH0100X Clinic/Center Health Service |
| 261QP2300X Clinic/Center Primary Care | |
| Enumeration Date | 2013-01-14 |
| Last Update Date | 2013-01-14 |