| NPI | 1780960344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FERNANDO FIGUEROA President 772-223-4563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 174400000X Specialist (Licence: FL PT6978) |
| 251E00000X Home Health (Licence: FL PT6978) | |
| Enumeration Date | 2011-10-27 |
| Last Update Date | 2019-02-25 |