| NPI | 1659979631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW CRUZ ZEVALLOS Manager 786-389-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 111N00000X Chiropractor |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2020-10-13 |