| NPI | 1861866790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL F MORENO Owner 786-817-5439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation (Licence: FL MA58826) |
| Enumeration Date | 2015-11-16 |
| Last Update Date | 2016-04-04 |