| NPI | 1871549972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS ALONSO Owner 954-392-5315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2009-04-20 |