| NPI | 1821022815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAZARO HERNANDEZ Owner 772-501-8804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL HCC3926) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2009-12-02 |