| NPI | 1720363724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRIAM D MATARREDONA President 305-603-9908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL MM26738) |
| Additional Taxonomies | 261QP1100X Clinic/Center, Podiatric (Licence: FL MM26738) |
| Enumeration Date | 2011-10-21 |
| Last Update Date | 2011-12-07 |