| NPI | 1710385232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIANITZA GONZALEZ Owner 305-299-9892 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS13450) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2014-12-16 |
| Last Update Date | 2023-01-23 |