| NPI | 1780670901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSVALDO RICARDO President 305-863-2060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: FL HCC3708) |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2008-08-26 |