| NPI | 1689950388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILEN GONZALEZ President 305-820-0440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: FL LC9852) |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2011-10-25 |