| NPI | 1891096525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOHENDY BARO President 786-581-5963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL HCC8739) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2010-11-11 |
| Last Update Date | 2013-04-26 |