| NPI | 1700543634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERASMO MENENDEZ CFO 786-334-6928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207K00000X Allergy & Immunology |
| 2251G0304X Physical Therapist, Geriatrics | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2021-11-28 |
| Last Update Date | 2023-10-17 |