| NPI | 1871250886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLEN RODRIGUEZ President 786-715-6243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2021-11-24 |
| Last Update Date | 2021-12-21 |