| NPI | 1912209628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVAN F FERNANDEZ-LOPEZ President 786-235-6164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL MA 47191) |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2010-12-01 |