| NPI | 1902300379 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | RONALD RANI YACOUB Owner 305-722-0568  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL pt18067)  | 
| Enumeration Date | 2018-03-21 | 
| Last Update Date | 2020-07-21 |