| NPI | 1710289251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL MORENO President 305-263-7926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation (Licence: FL MA 42951) |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2010-12-02 |