| NPI | 1699967406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGIO SHELTON Owner 305-698-1895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2007-12-18 |