| NPI | 1821237587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARA GOMEZ Credentialing Specialist 786-621-3897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2009-02-19 |