| NPI | 1689890576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAISY JAY Administrator 305-969-2444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: FL HCC6195) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2015-07-01 |