| NPI | 1912206772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIDICE CARBONEL President Owner 305-822-6812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: FL MM26565) |
| Enumeration Date | 2011-03-19 |
| Last Update Date | 2011-03-19 |