| NPI | 1699142398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENIEL PENA President 786-294-0889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 261QR0208X Clinic/Center, Radiology, Mobile | |
| Enumeration Date | 2015-08-28 |
| Last Update Date | 2015-08-28 |