| NPI | 1801422159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAVIER PEREZ Administrator 305-760-9339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2020-03-18 |
| Last Update Date | 2020-03-18 |