| NPI | 1851840896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVAN DE JESUS MARTINEZ President 786-817-5439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL MA45836) |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2016-10-03 |