| NPI | 1699586974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID PEREZ CARDONA Owner/Administrator 786-883-5496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2025-01-16 |
| Last Update Date | 2025-08-27 |