| NPI | 1649555830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IIEANA D LOZANO President 305-885-3239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: FL MA-63278) |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2011-10-19 |