| NPI | 1821019167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEREK WATSON President 786-464-1772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL 13-64-09976) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2020-08-22 |