| NPI | 1790158863 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | MICHAEL ANTHONY DENIS Physical Therapist Assistant 786-444-1427  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL 26319)  | 
| Enumeration Date | 2015-11-11 | 
| Last Update Date | 2015-11-11 |