| NPI | 1629260856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS FLEITES President 305-559-5511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: FL To Be Announced) |
| Enumeration Date | 2007-08-12 |
| Last Update Date | 2007-08-12 |