| NPI | 1649570839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM J ESPINOZA President 305-225-2535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME22082) |
| Additional Taxonomies | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2011-02-05 |