| NPI | 1790017366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW ANDONOV President 954-420-9499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation (Licence: FL MM24255) |
| Enumeration Date | 2010-02-08 |
| Last Update Date | 2010-02-08 |