| NPI | 1689409534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSUE LAROSE President 954-314-7193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 261QP3300X Clinic/Center, Pain | |
| Enumeration Date | 2024-09-02 |
| Last Update Date | 2024-09-02 |