| NPI | 1740546514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSANA VERONICA PEREDA President 305-274-3311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT16622) |
| Additional Taxonomies | 2251S0007X Physical Therapist Sports (Licence: FL PT16622) |
| 2251X0800X Physical Therapist Orthopedic (Licence: FL PT16622) | |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2012-04-06 |