| NPI | 1871968032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLGA VEIGA Insurance 772-781-1101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL CH7269) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL CH7269) |
| Enumeration Date | 2015-12-14 |
| Last Update Date | 2015-12-14 |