| NPI | 1902200124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXIS PEREZ President 305-223-6874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2014-10-17 |